Individual
DR. BRANDON MICHAEL WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
175 S MAIN ST, CANTON, IL 61520-2670
(309) 224-7983
Mailing address
549 S APPLE ST, FARMINGTON, IL 61531-1412
(309) 224-7983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011951
IL
Other
Enumeration date
06/23/2011
Last updated
10/11/2011
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